Abstract | BACKGROUND: METHODS: We developed a capture panel that enriches the exonic DNA of 163 known retinal disease genes. Using this panel, we performed targeted next generation sequencing (NGS) for a large cohort of 179 unrelated and prescreened patients with the clinical diagnosis of LCA or juvenile RP. Systematic NGS data analysis, Sanger sequencing validation, and segregation analysis were utilised to identify the pathogenic mutations. Patients were revisited to examine the potential phenotypic ambiguity at the time of initial diagnosis. RESULTS: Pathogenic mutations for 72 patients (40%) were identified, including 45 novel mutations. Of these 72 patients, 58 carried mutations in known LCA or juvenile RP genes and exhibited corresponding phenotypes, while 14 carried mutations in retinal disease genes that were not consistent with their initial clinical diagnosis. We revisited patients in the latter case and found that homozygous mutations in PRPH2 can cause LCA/juvenile RP. Guided by the molecular diagnosis, we reclassified the clinical diagnosis in two patients. CONCLUSIONS: We have identified a novel gene and a large number of novel mutations that are associated with LCA/juvenile RP. Our results highlight the importance of molecular diagnosis as an integral part of clinical diagnosis.
|
Authors | Xia Wang, Hui Wang, Vincent Sun, Han-Fang Tuan, Vafa Keser, Keqing Wang, Huanan Ren, Irma Lopez, Jacques E Zaneveld, Sorath Siddiqui, Stephanie Bowles, Ayesha Khan, Jason Salvo, Samuel G Jacobson, Alessandro Iannaccone, Feng Wang, David Birch, John R Heckenlively, Gerald A Fishman, Elias I Traboulsi, Yumei Li, Dianna Wheaton, Robert K Koenekoop, Rui Chen |
Journal | Journal of medical genetics
(J Med Genet)
Vol. 50
Issue 10
Pg. 674-88
(Oct 2013)
ISSN: 1468-6244 [Electronic] England |
PMID | 23847139
(Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
|
Topics |
- Alleles
- Amino Acid Sequence
- Base Sequence
- Exome
- Female
- Genotype
- High-Throughput Nucleotide Sequencing
- Humans
- Leber Congenital Amaurosis
(diagnosis, genetics)
- Mutation
- Pedigree
- Polymorphism, Single Nucleotide
- Reproducibility of Results
- Retinitis Pigmentosa
(diagnosis, genetics)
- Sensitivity and Specificity
|